Provider Demographics
NPI:1710202726
Name:CARR, JAMES (LPN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:CARR
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5022 DEMOTT CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32821-7626
Mailing Address - Country:US
Mailing Address - Phone:407-222-9149
Mailing Address - Fax:
Practice Address - Street 1:5022 DEMOTT CT
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32821-7626
Practice Address - Country:US
Practice Address - Phone:407-222-9149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1163731164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse